Question

A 64-year-old woman with T2DM and symptomatic HFrEF (LVEF 35%) on ACE-I and beta-blocker asks about glucose-lowering therapy. HbA1c 63 mmol/mol, eGFR 70 mL/min/1.73 m². What would you add?

Accepted Answer

SGLT2 inhibitor (empagliflozin)

Answer

Sulfonylurea (gliclazide)

Answer

Pioglitazone

Answer

DPP-4 inhibitor (sitagliptin)

Answer

Insulin basal only

Practice question

A 64-year-old woman with T2DM and symptomatic HFrEF (LVEF 35%) on ACE-I and beta-blocker asks about glucose-lowering therapy. HbA1c 63 mmol/mol, eGFR 70 mL/min/1.73 m². What would you add?